Varying Psychological Stress Among Rwandan Patients with Chronic Diseases.

IF 3 3区医学 Q3 ENDOCRINOLOGY & METABOLISM

Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy Pub Date : 2025-09-04 eCollection Date: 2025-01-01 DOI:10.2147/DMSO.S539308

Abdullateef Isiaka Alagbonsi, Clothilde Manishimwe, Muhirwa Serge, Divine Aimee Agahozo, Shema Tito

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Abstract

Background: While psychological stress cannot be dissociated from chronic diseases, the extent to which it impacts the management of chronic diseases is poorly understood. This cross-sectional study investigated the prevalence and impact of psychological stress among Rwandan patients with chronic diseases, particularly hypertension, heart failure, malignancies, diabetes, and kidney failure.

Methods: This cross-sectional study was conducted among internal medicine patients receiving treatment for chronic diseases at the University Teaching Hospital of Kigali (n = 81) and the University Teaching Hospital of Butare (CHUB) (n = 78) between May 1 and June 30, 2024.

Results: There was a very high prevalence of psychological stress (91.8%) among Rwandan patients with various forms of chronic diseases. Despite the regular monitoring of their disease progression by their healthcare providers (92.4%) and compliance with their medication (89.9%) and dietary (89.3%) regimens, many of them still experienced frequent complications (96.8%) and worsening outcomes (95.5%), though there was an improvement in symptoms (94.3%). Furthermore, there was a weak relationship (r = 0.210, ρ = 0.000) between the severity of psychological stress experienced by patients with chronic diseases and their treatment outcomes. Finally, patients with heart failure (p<0.001), hypertension (p<0.001), diabetes (p<0.001), and malignancies (p<0.001) experienced higher levels of psychological stress.

Conclusion: Hypertension, heart failure, malignancies, and diabetes, but not kidney failure, predict psychological stress among Rwandan patients.

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卢旺达慢性病患者的不同心理压力。

背景：虽然心理压力不能与慢性疾病分离，但它对慢性疾病管理的影响程度却知之甚少。这项横断面研究调查了卢旺达慢性疾病患者，特别是高血压、心力衰竭、恶性肿瘤、糖尿病和肾衰竭患者的心理压力的患病率和影响。方法：本横断面研究于2024年5月1日至6月30日在基加利大学教学医院（n = 81）和布塔雷大学教学医院（n = 78）接受慢性疾病治疗的内科患者中进行。结果：心理压力在卢旺达各种慢性疾病患者中的患病率非常高（91.8%）。尽管他们的医疗保健提供者（92.4%）定期监测他们的疾病进展，并遵守他们的药物（89.9%）和饮食（89.3%）方案，但他们中的许多人仍然经常出现并发症（96.8%）和恶化的结果（95.5%），尽管症状有所改善（94.3%）。此外，慢性疾病患者所经历的心理应激严重程度与其治疗效果之间存在弱相关（r = 0.210, ρ = 0.000）。最后，心衰患者（pppph）结论：高血压、心衰、恶性肿瘤和糖尿病，但不是肾衰竭，可以预测卢旺达患者的心理压力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy Pharmacology, Toxicology and Pharmaceutics-Pharmacology

CiteScore

5.90

自引率

6.10%

发文量

431

审稿时长

16 weeks

期刊介绍： An international, peer-reviewed, open access, online journal. The journal is committed to the rapid publication of the latest laboratory and clinical findings in the fields of diabetes, metabolic syndrome and obesity research. Original research, review, case reports, hypothesis formation, expert opinion and commentaries are all considered for publication.